| NPI | 1437325214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT125337) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89035) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2023-02-01 |