NPI | 1245939883 |
---|---|
Former Name | NATALIE MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 128670) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101Y00000X Counselor | |
Enumeration Date | 2023-03-02 |
Last Update Date | 2025-02-26 |