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 |