| NPI | 1992071054 |
|---|---|
| Former Name | ERIC RENE DANIELS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 60235877) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |