| NPI | 1083031322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93172) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79701) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2021-10-14 |