| NPI | 1457446858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 4267-R) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC38756) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-12-12 |