| 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 |