| NPI | 1548580285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0657) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NV PY0657) |
| 103TF0200X Psychologist, Forensic (Licence: NV PY0657) | |
| 103TH0100X Psychologist, Health Service (Licence: NV PY0657) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NV PY0657) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSY24434) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: NV PY0657) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NV PY0657) | |
| 106H00000X Marriage & Family Therapist (Licence: NV PY0657) | |
| 103T00000X Psychologist (Licence: NV PY0657) | |
| 103T00000X Psychologist (Licence: CA PSY24434) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NV PY0657) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY24434) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NV PY0657) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY24434) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2023-02-20 |