| NPI | 1801556899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.0008277) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: OH 21-169) |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2021-12-18 |