NPI | 1518351352 |
---|---|
Former Name | LINDSEY SODERSTROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76046) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 63381) |
Enumeration Date | 2015-03-18 |
Last Update Date | 2024-07-09 |