| NPI | 1083036545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0008198-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.8198) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.8198) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E0008198) | |
| 101YP2500X Counselor, Professional (Licence: OH E.8198) | |
| 101YP1600X Counselor, Pastoral (Licence: OH E.8198) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2025-09-09 |