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 |