| NPI | 1114122462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7508) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY 7508) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY 7508) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-01-09 |