NPI | 1578734109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: TN P377) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TN P377) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN P377) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TN P377) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: TN P377) | |
103TS0200X Psychologist, School (Licence: TN P377) | |
Enumeration Date | 2008-03-24 |
Last Update Date | 2008-03-24 |