| NPI | 1598413676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225A00000X Music Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2607795) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2026-05-08 |