NPI | 1548319429 |
---|---|
Former Name | CHRISTINE ELIZABETH PENDOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60024099) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60024099) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60132642) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2013-04-15 |