| NPI | 1225226434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc 37413) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA mfc 37413) |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional (Licence: CA mfc 37413) | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2020-06-30 |