| NPI | 1528492543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1451127) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1002022) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2014-10-31 |