| NPI | 1447618145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S 0900587) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 976003) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |