| NPI | 1386605053 |
|---|---|
| Other Name | JO FJELSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-32125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00000342) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-11-27 |