| NPI | 1871250399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN RBT-22-1893-377469) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-02-21 |