| NPI | 1497900336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012215-1) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 012215-1) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |