| NPI | 1033378062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34006147A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33005583A) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-08-27 |