NPI | 1265699342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0001621) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH F0500025) |
Enumeration Date | 2008-05-17 |
Last Update Date | 2008-05-17 |