NPI | 1841799251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1801025) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801025) |
101YM0800X Counselor, Mental Health (Licence: OH C.1801025) | |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-02-12 |