| NPI | 1598896730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT47585) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202583) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-02-22 |