| NPI | 1346540549 |
|---|---|
| Former Name | MONA EVELYN BOCKENSTEDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 007323) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2025-02-27 |