NPI | 1437486412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 35958) |
104100000X Social Worker | |
Enumeration Date | 2009-11-11 |
Last Update Date | 2025-06-28 |