NPI | 1881320166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA AMFT132964) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC11708) |
106H00000X Marriage & Family Therapist (Licence: CA AMFT132964) | |
Enumeration Date | 2022-07-28 |
Last Update Date | 2022-07-29 |