| NPI | 1801325188 |
|---|---|
| Other Name | TOM BRUETT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99956) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 0001922) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2021-05-06 |