| NPI | 1578693867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0000888) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0000888) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-04-03 |