| NPI | 1740602119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 33008207A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8925) |
| 104100000X Social Worker | |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2021-05-15 |