| NPI | 1013885581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT160883) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117678) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2026-02-23 |