| NPI | 1033376116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003006a) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 340003006a) |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2008-05-17 |