| NPI | 1508371626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH S.1701098) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-08-31 |