| NPI | 1093853681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2545) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 1107) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2007-07-08 |