NPI | 1922021559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 000338-1) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 002936-1) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2022-07-21 |