NPI | 1255616884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1100294) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1100294) |
Enumeration Date | 2011-10-14 |
Last Update Date | 2024-09-17 |