| NPI | 1548823099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC134586) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 6365) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF112824) | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-11-08 |