NPI | 1083036545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0008198-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0008198) |
101Y00000X Counselor (Licence: OH E.8198) | |
101YM0800X Counselor, Mental Health (Licence: OH E.8198) | |
101YP1600X Counselor, Pastoral (Licence: OH E.8198) | |
101YP2500X Counselor, Professional (Licence: OH E.8198) | |
Enumeration Date | 2014-01-16 |
Last Update Date | 2023-03-17 |