| NPI | 1376281865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2410364) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2102148-TRNE) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-02-06 |