| NPI | 1770031080 |
|---|---|
| Former Name | MARDY NEANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2023-08-03 |