NPI | 1942492418 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005408A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW2616) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2019-07-21 |