NPI | 1487334512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
171M00000X Case Manager/Care Coordinator (Licence: CA R1511440623) | |
Enumeration Date | 2023-07-24 |
Last Update Date | 2024-09-04 |