NPI | 1275878456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH 1451267) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981266) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2023-12-15 |