NPI | 1528278744 |
---|---|
Other Name | AL KUBAT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 1979) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY6938) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2010-08-19 |