| NPI | 1679601041 |
|---|---|
| Other Name | MISHA GUTKIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY24794) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY24794) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-01-11 |