| NPI | 1720638349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1500277) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1500277) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-04-27 |