| NPI | 1003858572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004843) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 71004843) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-08-14 |