NPI | 1184487803 |
---|---|
Other Name | LEO TARANGO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-R-5870) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000111521) |
Enumeration Date | 2024-02-05 |
Last Update Date | 2025-10-03 |