| NPI | 1427104199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT47087) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF52116) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-08-23 |