| NPI | 1952601833 |
|---|---|
| Former Name | HEIDI RUBIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15941-132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16098-130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15941) | |
| 104100000X Social Worker (Licence: WI 131330) | |
| 104100000X Social Worker (Licence: WI 131330-121) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2022-10-03 |