| NPI | 1114198389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-73) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 12629) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2026-06-11 |