NPI | 1326289224 |
---|---|
Former Name | MARIA GOLDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9556-123) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 18559-130) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2020-11-12 |