| NPI | 1811487978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F2000118) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1600013) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-03-06 |