| NPI | 1629552534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011040A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33010371A) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-08-08 |