NPI | 1821822776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NH 6841) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 6841) |
103TH0100X Psychologist, Health Service (Licence: NH 6841) | |
Enumeration Date | 2024-08-30 |
Last Update Date | 2024-09-17 |