| NPI | 1285819334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT163204) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF56327) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2026-05-05 |