| NPI | 1346468485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF45429) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45955) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-11-22 |