NPI | 1467796433 |
---|---|
Former Name | CHRISTINA POMPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8252-123) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15949-131) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2015-01-28 |