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 |