| NPI | 1386942225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-397) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2252) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2020-04-10 |