| NPI | 1356771083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ZZ IL-2013399) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TP0814X Psychologist Psychoanalysis (Licence: IL-2013399) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2019-06-11 |