| NPI | 1790157188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1560) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: HI 1560) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |