NPI | 1881289338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48284) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61192417) |
Enumeration Date | 2021-03-06 |
Last Update Date | 2024-09-26 |