| NPI | 1447987425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH S.2005129) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005129) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-08-09 |