| NPI | 1396358909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2506264) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005343) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2025-01-30 |