| NPI | 1376285056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2303015-TRNE) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH W.2300356) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2024-03-21 |