NPI | 1558126540 |
---|---|
Former Name | MUSTAPHA MOUAWIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6351004683) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6362009851) |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-02-19 |