| NPI | 1285858696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 38811) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT38811) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2023-06-28 |