| NPI | 1194892208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC48646) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 48684) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-02-14 |