| NPI | 1851716047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: IL 180001219) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180001219) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |