NPI | 1730191784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY9583) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY9583) |
103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY9583) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY9583) | |
103TC0700X Psychologist, Clinical (Licence: CA PSY9583) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY9583) | |
103TE1100X Psychologist, Exercise & Sports (Licence: CA PSY9583) | |
103TF0000X Psychologist, Family (Licence: CA PSY9583) | |
103TH0004X Psychologist, Health (Licence: CA PSY9583) | |
103TH0100X Psychologist, Health Service (Licence: CA PSY9583) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY9583) | |
103TR0400X Psychologist, Rehabilitation (Licence: CA PSY9583) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2007-07-08 |