NPI | 1669024865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103431) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901582-TRNE) |
Enumeration Date | 2019-07-09 |
Last Update Date | 2022-10-26 |