| NPI | 1891328472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011072A) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IN 33007671A) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2025-01-27 |