NPI | 1225363849 |
---|---|
Other Name | NICHOLAS BREITBORDE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: OH 7267) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: AZ 4063) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2024-12-03 |