| NPI | 1518273309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT43091) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC43091) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2019-08-19 |