| NPI | 1518242999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29913) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY P03405) |
| 103T00000X Psychologist (Licence: CA 29913) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2024-08-08 |