| NPI | 1578938270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CO NLC.0109094) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2018-12-23 |