| NPI | 1255994711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.2200285) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1900102) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2022-09-16 |