| NPI | 1902432115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88001041A) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |