| NPI | 1790816445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 40551) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 40551) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-03-31 |