| NPI | 1598332645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203664) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005534) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-06-29 |