| NPI | 1821229956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.532232) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-06-12 |