| NPI | 1073818282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005852A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005852) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2020-02-10 |