NPI | 1518503580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207644) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1901119-TRNE) |
Enumeration Date | 2019-11-25 |
Last Update Date | 2024-08-29 |