| NPI | 1154674703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003965-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0003965) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2021-09-14 |