| NPI | 1245707637 |
|---|---|
| Former Name | VIRIDIANA CARREON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA LCI2231214) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 95113) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-12-20 |