| NPI | 1437041704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.011338) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2025-07-19 |
| Last Update Date | 2025-07-19 |