NPI | 1144810425 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2305065) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005662) |
Enumeration Date | 2021-01-21 |
Last Update Date | 2024-01-08 |