| NPI | 1437637592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102199) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003606A) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-10-09 |