NPI | 1437381647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5576) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 1367) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2024-11-12 |