| NPI | 1932399524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20040120A) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: IN 20040120A) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |