NPI | 1326607367 |
---|---|
Former Name | SHEYENNE GRACE HALSTENGARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 6813) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2025-06-04 |