| NPI | 1598243883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT132804) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF100673) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-02-13 |