NPI | 1437584646 |
---|---|
Former Name | FELICIA LANCASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98948) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A09170315) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2024-02-10 |