| NPI | 1033378062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006147A) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 104100000X Social Worker (Licence: IN 33005583A) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2025-09-24 |