NPI | 1891963229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150257) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2008-02-19 |
Last Update Date | 2024-10-21 |