| NPI | 1609309103 |
|---|---|
| Professional Name | LELAND VAN DEN DAELE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 9210) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY 9210) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY 9210) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY 9210) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2021-03-29 |