NPI | 1295361715 |
---|---|
Former Name | KARLA FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110792) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1367271019) |
Enumeration Date | 2020-03-16 |
Last Update Date | 2022-12-07 |