| NPI | 1851971881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR C-10143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR M-10143) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-02-10 |