| NPI | 1144451972 |
|---|---|
| Former Name | VERONICA BINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25761) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 25761) |
| 101YP2500X Counselor, Professional (Licence: CA 25761) | |
| 104100000X Social Worker (Licence: CA 25761) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2012-06-08 |