NPI | 1922431444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF75946) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2013-08-20 |
Last Update Date | 2016-12-01 |