| NPI | 1134432644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138266) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2025-04-03 |