NPI | 1700125614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S4014) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S4014) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2013-02-12 |