| NPI | 1205483740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.2300317) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1700026) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-03-03 |