NPI | 1902460868 |
---|---|
Former Name | LEANDRO PEREZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C139530723) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2019-04-25 |
Last Update Date | 2024-04-22 |