| NPI | 1831340520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20043678B) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: IN 20043678B) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2023-10-01 |