NPI | 1669873683 |
---|---|
Other Name | MAX LIVSHETZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60437658) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60437658) |
103TF0200X Psychologist, Forensic (Licence: WA PY60437658) | |
Enumeration Date | 2014-09-09 |
Last Update Date | 2021-03-31 |