| NPI | 1063303022 |
|---|---|
| Former Name | KOJO MINTAH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 40203) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 40203) |
| 103TC1900X Psychologist, Counseling (Licence: TX 40203) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 40203) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 40203) | |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-14 |