| NPI | 1821661737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT154303) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT136028) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-09-08 |