| NPI | 1245724194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147194) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician (Licence: CA F2812243) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 163335) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2026-06-05 |