| NPI | 1346731353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2102966) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700725) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2022-09-28 |