| NPI | 1679283709 |
|---|---|
| Professional Name | TIM FOW |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 80328) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 80328) |
| 102L00000X Psychoanalyst (Licence: TX 80328) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-12-26 |