| NPI | 1548322126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY8324) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-09-11 |