NPI | 1083810014 |
---|---|
Former Name | ELIZABETH PARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 12964) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 11749) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2023-11-08 |