NPI | 1578295374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207578) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2207578) |
Enumeration Date | 2022-06-29 |
Last Update Date | 2022-07-18 |