| NPI | 1306252564 |
|---|---|
| Former Name | BENJAMIN ALEX VAN AUKEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2024-09-10 |