NPI | 1881252575 |
---|---|
Former Name | DARRYL LEE WRIGHT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60975593) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2022-08-30 |