NPI | 1679756647 |
---|---|
Former Name | STEVEN E HARTLAGE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S-0020899) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2021-03-02 |