| NPI | 1508600719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 99125591A) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IN 99125591A) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |