| NPI | 1497819718 |
|---|---|
| Former Name | LUANN LEE HANNUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004522) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00004522) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904006086) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-02-25 |