NPI | 1023298023 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 1513849) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180003889) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2007-11-07 |