NPI | 1225449309 |
---|---|
Former Name | GITENDRA USWATTE-ARATCHI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TR0400X Psychologist Rehabilitation (Licence: AL 1290) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AL 1290) |
103TH0004X Psychologist Health (Licence: AL 1290) | |
Enumeration Date | 2014-05-12 |
Last Update Date | 2014-05-12 |