| NPI | 1427578202 |
|---|---|
| Other Name | PETER BURGOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 107978) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 83822) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-10-05 |