| NPI | 1932569241 |
|---|---|
| Other Name | BOOMER BAUMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901236) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007683) |
| 101YP2500X Counselor, Professional (Licence: VA 0701006335) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2025-02-24 |