| NPI | 1083848519 |
|---|---|
| Former Name | ANDREA HENNUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2013-12-05 |