| NPI | 1720576903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005095) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1601257) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2022-03-23 |