NPI | 1083946800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0501335) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0501335) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |