| NPI | 1982186680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2406132-TRNE) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: C.2406132-TRNE) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2024-11-05 |