| NPI | 1346901048 |
|---|---|
| Former Name | KARENA MARIE BOLDUC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW21615) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-18275) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-08-11 |