| NPI | 1982599387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 104100000X Social Worker | |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |