NPI | 1942387444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 33341) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT33341) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-11-03 |