| NPI | 1407329675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2309669) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172384) |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
| 171M00000X Case Manager/Care Coordinator (Licence: OH CMS) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2025-07-30 |