NPI | 1992395701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2105864) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.2105864) |
Enumeration Date | 2021-01-25 |
Last Update Date | 2022-06-21 |