NPI | 1932845245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: FL PY11477) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MS 60-1050) |
Enumeration Date | 2022-05-10 |
Last Update Date | 2022-05-10 |