NPI | 1558775510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS01259) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: RI PS01259) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2025-02-26 |