| NPI | 1083328835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 4135-r) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51699) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-07 |