| NPI | 1326041005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY 7097) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 7097) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2009-07-16 |