| NPI | 1679133193 |
|---|---|
| Other Name | JAIME HOSTICKA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1902038) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1902038) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-12-12 |