| NPI | 1053454223 |
|---|---|
| Former Name | MANDY C VANDERHOOF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 3155) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 5112) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |