| NPI | 1124215777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043496A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001667A) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2021-11-22 |