| NPI | 1023786035 |
|---|---|
| Former Name | LOGANN DALE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NE 12731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7653) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-02-14 |