| NPI | 1093962656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT-230) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-01-22 |