| NPI | 1245355361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: KS 0136) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 0141) |
| 103T00000X Psychologist (Licence: KS 0136) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: KS 0141) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2025-09-11 |