| NPI | 1730726415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2308704) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2001392-TRNE) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2023-03-20 |