NPI | 1184760738 |
---|---|
Other Name | DIANA BENJAMIN RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 2400) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA C0019) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA ICAADC1308) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2010-05-18 |