| NPI | 1346405552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY9390) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY9390) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |