| NPI | 1952684581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF72294) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 72294) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2013-07-17 |