| NPI | 1154320596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: TN 2549 (PROVISIONAL)) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TN P2549) |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-26 |