| NPI | 1841422458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071008817) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007852) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2021-08-16 |