| NPI | 1083111934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32414) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY32414) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2024-03-21 |