| NPI | 1629284963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F1000007) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0500372) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-08-20 |