| NPI | 1750850004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124516) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717002185) |
| 106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC-76031) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 13305486-3902) | |
| 106H00000X Marriage & Family Therapist (Licence: NV 4556-R) | |
| 106H00000X Marriage & Family Therapist (Licence: OR T2217) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF61559482) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 2337) | |
| 106H00000X Marriage & Family Therapist (Licence: HI MFT-770) | |
| 106H00000X Marriage & Family Therapist (Licence: WI 2212-124) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2026-03-03 |