| NPI | 1295358026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117619) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-08-31 |