NPI | 1891215968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-708) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2017-06-21 |
Last Update Date | 2021-07-01 |