| NPI | 1821210725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: KY 466) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: KY 466) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KY 466) | |
| 103TC1900X Psychologist, Counseling (Licence: KY 466) | |
| 103TF0000X Psychologist, Family (Licence: KY 466) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-09-11 |