NPI | 1427169945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500718) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0500718) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-11-02 |