NPI | 1669664199 |
---|---|
Professional Name | JOHN THOMAS ROUSE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY11264) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY11264) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2017-12-08 |