| NPI | 1013740869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 33012286A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34012912A) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2026-06-02 |