| NPI | 1033839618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009889A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005798) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-06-13 |