| 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 |