| NPI | 1902115439 |
|---|---|
| Other Name | RAFAEL AMAYA ORTIZ-GOMEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 112579III) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2022-03-15 |