| NPI | 1427371681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46218) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 2682) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2019-10-15 |