| NPI | 1265170427 |
|---|---|
| Former Name | ETHAN DAVID HOFFMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33854) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 33854) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-04-29 |