| NPI | 1831685866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2305066) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH UX235564) |
| 347C00000X Private Vehicle (Licence: OH UX235564) | |
| 376J00000X Homemaker | |
| 374K00000X Religious Nonmedical Practitioner | |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2025-09-16 |