| NPI | 1407349061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2005196) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1800416-TRNE) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2020-09-15 |