| NPI | 1285829382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC45365) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 48446) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-11-06 |