| NPI | 1578876157 |
|---|---|
| Former Name | CYNTHIA ANN MATTHIESEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 10650) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2021-04-27 |