| NPI | 1881906261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY#26174) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA PSY26174) |
| 103TP0814X Psychologist Psychoanalysis (Licence: CA 26174) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2022-12-28 |