| NPI | 1023497641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management (Licence: OH 1500185) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-01-24 |