NPI | 1043987217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2101987-TRNE) |
Enumeration Date | 2021-08-25 |
Last Update Date | 2022-10-19 |