| NPI | 1740271337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC33504) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 33504) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2024-11-25 |