NPI | 1942745864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1610519-TRNE) |
104100000X Social Worker (Licence: OH S.1901009-TRNE) | |
Enumeration Date | 2017-01-01 |
Last Update Date | 2020-05-15 |