NPI | 1285130468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2303110-TRNE) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.110736) | |
Enumeration Date | 2018-04-05 |
Last Update Date | 2024-01-26 |