| NPI | 1164022786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120645) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF205) |
| 106H00000X Marriage & Family Therapist (Licence: SC TLC331PC) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 2000) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 204233) | |
| 106H00000X Marriage & Family Therapist (Licence: LA MFT1437) | |
| 106H00000X Marriage & Family Therapist (Licence: NV 3142-R) | |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002335) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 13235343-3902) | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2023-03-22 |