NPI | 1467511204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: OH E.0001662-SUPV) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0001662-SUPV) |
101YM0800X Counselor, Mental Health (Licence: OH E.0001662-SUPV) | |
Enumeration Date | 2006-12-07 |
Last Update Date | 2025-09-11 |