| NPI | 1881289338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48284) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61192417) |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2024-09-26 |