| NPI | 1780916718 |
|---|---|
| Other Name | JUSTIN LINWOOD WOMER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81193) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 10061217) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2019-06-25 |