NPI | 1063156966 |
---|---|
Former Name | CHERIDY HAAG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13984784-3502) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-26 |
Last Update Date | 2025-01-15 |