| NPI | 1871517672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071-006685) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071-006685) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IL 071-006685) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-02-23 |