| NPI | 1487930954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003199A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 87001486A) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2023-07-27 |