NPI | 1184827073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: CA CP8492) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA CP8492) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2007-07-08 |