NPI | 1457673139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F0000120) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0004292) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2010-02-22 |