| NPI | 1144934852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 101200000X Drama Therapist |
| 221700000X Art Therapist | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |