| NPI | 1780026237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34007410A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 99058271A) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2023-04-19 |