| NPI | 1346513363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT51393) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 58558) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2014-11-20 |