| NPI | 1265052278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010664A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33009813A) |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-10-04 |