| NPI | 1235656554 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S1501115) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S150115) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-06-13 |