NPI | 1124707666 |
---|---|
Other Name | JEFF SHULZE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY34112) |
103TE1100X Psychologist, Exercise & Sports | |
Enumeration Date | 2023-07-12 |
Last Update Date | 2023-07-12 |