NPI | 1649470865 |
---|---|
Former Name | JOANNA MICHELE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006542) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS 1437) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2010-08-30 |