NPI | 1851331599 |
---|---|
Other Name | SETH SATURN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2227) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 4633) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2013-08-01 |