NPI | 1306845250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TN P2402) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TN P2402) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2015-08-31 |