NPI | 1861990376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124285) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2018-01-30 |
Last Update Date | 2023-01-17 |