| NPI | 1669891214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017249) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: PA PS017249) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-07-21 |