NPI | 1316152523 |
---|---|
Former Name | GINA ALICE HORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW62412) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2021-05-21 |