| NPI | 1487241287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 2005164) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2022-01-25 |