| NPI | 1033464870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 13-22EI) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR P2109018) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-07-29 |