| NPI | 1760688980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: IL 071.010018) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2025-03-10 |