NPI | 1316426521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2001362-TRNE) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2022-06-27 |