| NPI | 1447626437 |
|---|---|
| Former Name | SONJA ANN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8716883-3501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 8716883-3502) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2020-05-15 |