| NPI | 1841710423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2106925) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2021-10-09 |