NPI | 1881832442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4034) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 4034) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2022-03-18 |