| NPI | 1730771171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2410845) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2202772-TRNE) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-05-30 |