| NPI | 1376718098 |
|---|---|
| Former Name | MANDI RENEE SJOGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14621) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8930) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61065584) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 2508) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2698) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-01-10 |