| NPI | 1639439581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303855) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1200121) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2023-11-17 |