NPI | 1669401923 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: NY 000330-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R034500-1) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2012-09-05 |