| NPI | 1538658927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F.2400393) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 140423) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-04-26 |