| NPI | 1902956881 |
|---|---|
| Other Name | SASHA AVANESOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSY33518) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY33518) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-05-27 |