NPI | 1871353854 |
---|---|
Former Name | LANI KINUYO NAGAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5147-0) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-03-19 |