| NPI | 1023350717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003383A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 87000445A) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-09-26 |