NPI | 1982186680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2507550) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2406132-TRNE) |
101YM0800X Counselor, Mental Health | |
101YM0800X Counselor, Mental Health (Licence: C.2406132-TRNE) | |
Enumeration Date | 2018-08-30 |
Last Update Date | 2025-09-29 |