NPI | 1194477166 |
---|---|
Former Name | PAUL WILLIAM RICH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404283) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103835) |
Enumeration Date | 2022-01-21 |
Last Update Date | 2024-04-25 |