NPI | 1326473935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 60214473) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY 60214473) |
103TH0004X Psychologist, Health (Licence: WA PY 60214473) | |
103TH0100X Psychologist, Health Service | |
103TP0814X Psychologist, Psychoanalysis (Licence: WA PY 60214473) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: WA PY 60214473) | |
Enumeration Date | 2013-09-13 |
Last Update Date | 2013-09-13 |