| NPI | 1194534313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: CA 1E8DB16D31) |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |