| NPI | 1538396429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-23) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT32960) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-02-24 |