| NPI | 1295807147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 047-0000738) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VT 047-0000738) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-08-18 |