NPI | 1003060682 |
---|---|
Other Name | RON GRAHAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-903) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C7013) |
Enumeration Date | 2008-11-10 |
Last Update Date | 2008-11-10 |