| NPI | 1225129919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VT 000682) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: VT 000682) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-03-06 |