| NPI | 1124292545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111535) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: CA 74014) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2021-12-21 |