| 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 |