NPI | 1831420207 |
---|---|
Former Name | DESMOND ALAN HARLESS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004105) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TH0100X Psychologist, Health Service (Licence: OK 1195) | |
Enumeration Date | 2010-01-24 |
Last Update Date | 2021-05-06 |