NPI | 1891283834 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1600633) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: I.2002173) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2020-06-12 |