| NPI | 1285058511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 27268) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT27268) |
| 106H00000X Marriage & Family Therapist (Licence: CA 27268) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2020-08-31 |