| NPI | 1528545357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IN 10068586) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2024-10-01 |