NPI | 1316127392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C0600322) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OH C0600322) |
101YP2500X Counselor, Professional (Licence: OH C0600322) | |
Enumeration Date | 2007-11-07 |
Last Update Date | 2007-11-07 |