NPI | 1376716613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0022020) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981013) |
104100000X Social Worker (Licence: OH S.0022020) | |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |