| NPI | 1326596495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.1700017) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97266) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2018-11-20 |