| NPI | 1053911479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL AC-6153-55852005) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: IL AC-6153-55852005) |
| 101YM0800X Counselor, Mental Health (Licence: IL AC-6153-55852005) | |
| 174200000X Meals (Licence: IL AC-6153-55852005) | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2026-01-28 |