NPI | 1871624767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500399) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0500399) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2023-04-26 |