NPI | 1265053268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH M.1800064) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1801061) |
106H00000X Marriage & Family Therapist (Licence: IN 85000346A) | |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-04-30 |