| NPI | 1932687118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113069) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC-55922) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35002211A) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101007234) | |
| 106H00000X Marriage & Family Therapist (Licence: NV 4410-R) | |
| 106H00000X Marriage & Family Therapist (Licence: OH F.2200238) | |
| 106H00000X Marriage & Family Therapist (Licence: ID 8671) | |
| 106H00000X Marriage & Family Therapist (Licence: WY LMFT-268) | |
| 106H00000X Marriage & Family Therapist (Licence: VT 100.0134097) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 12933807-3902) | |
| 106H00000X Marriage & Family Therapist (Licence: ME MF7611) | |
| 106H00000X Marriage & Family Therapist (Licence: WI 1470-124) | |
| 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15916) | |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002132) | |
| 106H00000X Marriage & Family Therapist (Licence: PA MF001405) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2026-10-01 |