| NPI | 1033739743 |
|---|---|
| Former Name | JONATHAN SKY ORNDOFF |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 43445) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 39812) |
| 101YP2500X Counselor, Professional (Licence: MT 43445) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2024-03-21 |