| NPI | 1376011312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61483490) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005654) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4151001008) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2026-03-27 |