| NPI | 1336213800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TN P2187) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 95-7P) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-05-23 |