NPI | 1760628069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IN 10154897) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-12-17 |
Last Update Date | 2024-10-29 |