NPI | 1841454352 |
---|---|
Former Name | BONNIE BITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69922) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA ASW26777) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-07-14 |
Last Update Date | 2018-05-18 |