NPI | 1922292887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9268) |
Additional Taxonomies | 103TS0200X Psychologist School (Licence: FL PY9268) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2018-01-18 |