NPI | 1831284611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C0004390) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0007888) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |