NPI | 1548329394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.0006139) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0006139) |
101YP2500X Counselor, Professional (Licence: OH C.0006139) | |
Enumeration Date | 2006-12-07 |
Last Update Date | 2007-07-08 |