NPI | 1215421060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1800499-TRNE) |
Additional Taxonomies | 101Y00000X Counselor (Licence: S1800499-TRNE) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2020-04-01 |