| NPI | 1174755391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: CA Psy 20005) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20005) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2026-05-29 |