| NPI | 1811512254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NH 2824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2824) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-04-16 |