| NPI | 1003039785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS007982-L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100383200) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |