| NPI | 1730673179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1451266) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 1451266) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |