NPI | 1811058811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003862A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34003862A) |
104100000X Social Worker (Licence: IN 34003862A) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-12-03 |