| NPI | 1679050975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107647) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107647) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-03-24 |