NPI | 1912914961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 38188) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2006-08-02 |
Last Update Date | 2023-05-19 |