| NPI | 1346521242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT87666) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87666) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2025-01-13 |