| NPI | 1568692457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101005398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC23318) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2009-07-26 |