NPI | 1659188498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service |
Additional Taxonomies | 103T00000X Psychologist (Licence: S545-520-79-372-0) |
Enumeration Date | 2024-12-16 |
Last Update Date | 2024-12-18 |