| NPI | 1306537881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20043869B) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39004413A) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2026-07-08 |