| NPI | 1891843355 |
|---|---|
| Former Name | ROBIN WENNERBERG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36602) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4368) |
| 103TF0200X Psychologist, Forensic (Licence: TX 36602) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-10-17 |