| NPI | 1366750192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: CA 103605) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-03-12 |