| NPI | 1407416233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008937A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33008217A) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-06-24 |