NPI | 1891074076 |
---|---|
Other Name | VINCENT JOHN STRAUBE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60716189) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60716189) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2020-10-29 |