NPI | 1447708326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1600880) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |