| NPI | 1538970793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 161003) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: CA 1538970793) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2026-02-18 |