NPI | 1336848563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2405697) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2204522-trne) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2024-01-28 |