| NPI | 1033818810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011300A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 6851109402) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-12-19 |