| NPI | 1962505925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048-0000653) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 743) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |