| NPI | 1306671177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH s.2403911-TRNE) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH qmhs) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-25 |