| NPI | 1265020986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011084A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 99101651A) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-03-03 |