| NPI | 1366971756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT123191) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-06-20 |