| NPI | 1932233954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC44732) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-11-18 |