| NPI | 1568971513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20042247A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002637A) |
| 103TH0004X Psychologist, Health (Licence: IN 20042247A) | |
| 103TH0100X Psychologist, Health Service (Licence: IN 20042247A) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |