| NPI | 1386833978 |
|---|---|
| Other Name | JIMMY AUGUSTINE GOMEZ ANGIANO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 13507-R) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2023-01-31 |