| NPI | 1457766453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 3293-R) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 116555) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF79458) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2024-05-15 |