| NPI | 1952101263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB94025488) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: CA PSB94025488) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-07-10 |