NPI | 1003066242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH I.0800316) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0800316) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2008-09-24 |