| NPI | 1487785705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT19940) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC19940) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-04-02 |