| NPI | 1821780370 |
|---|---|
| Other Name | MATT JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142969) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-04-10 |