| NPI | 1447773387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT98141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA lmft98141) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2024-03-12 |