NPI | 1932670981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303642) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2018-12-16 |
Last Update Date | 2024-01-31 |