| NPI | 1750058970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207585) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 2101909) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-08-22 |