| NPI | 1134917321 |
|---|---|
| Former Name | ANDREA NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 12160-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54485) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-10-16 |