| NPI | 1861736126 |
|---|---|
| Former Name | REBEKAH HOGAN/FRAZIER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT92410) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA 92410) | |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2018-08-31 |