| NPI | 1497234371 |
|---|---|
| Former Name | LANE WENDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121625) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221974) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2026-01-03 |