| NPI | 1942387444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 33341) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT33341) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-11-03 |