| NPI | 1730433244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006778A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006095A) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2018-08-02 |