NPI | 1922424274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 108456) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79146) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2014-03-11 |
Last Update Date | 2022-10-24 |