NPI | 1083885818 |
---|---|
Former Name | SHAWNA FAY HEGLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2008-03-19 |
Last Update Date | 2021-03-17 |