| NPI | 1871070516 |
|---|---|
| Former Name | ANDREW URIBE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2023-12-11 |