NPI | 1932916079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 19665) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: CA 19665) |
146L00000X Emergency Medical Technician, Paramedic (Licence: CA 19665) | |
146M00000X Emergency Medical Technician, Intermediate (Licence: CA 19665) | |
146N00000X Emergency Medical Technician, Basic (Licence: CA 19665) | |
171M00000X Case Manager/Care Coordinator (Licence: CA 19665) | |
225800000X Recreation Therapist (Licence: CA 19665) | |
226000000X Recreational Therapist Assistant (Licence: CA 19665) | |
374K00000X (Licence: CA 19665) | |
405300000X Prevention Professional (Licence: CA 19665) | |
Enumeration Date | 2024-12-12 |
Last Update Date | 2024-12-12 |