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 |