| NPI | 1740761675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135430) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT107557) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2022-11-29 |