| NPI | 1750832457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404313) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103178-TRNE) |
| 101YP2500X Counselor, Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-08-20 |