NPI | 1891126918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117556) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 117556) |
101YM0800X Counselor, Mental Health (Licence: CA 117556) | |
106H00000X Marriage & Family Therapist (Licence: CA 117556) | |
101Y00000X Counselor | |
Enumeration Date | 2013-11-30 |
Last Update Date | 2022-10-13 |