| 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 |