| NPI | 1922844331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH S.2410717) |
| 172V00000X Community Health Worker (Licence: OH S.2410717) | |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-09-24 |