| NPI | 1588204820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2106140) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1901187-TRNE) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2022-10-11 |