| NPI | 1295118552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34008021A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33007478A) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2025-11-10 |