NPI | 1427091610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E757) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH E757) |
101YP2500X Counselor, Professional (Licence: OH E757) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2007-07-08 |