NPI | 1295991578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 3156) |
Additional Taxonomies | 104100000X Social Worker (Licence: PR 8072) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2020-02-03 |