NPI | 1588611917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH I 1331) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 1331) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2007-07-08 |