NPI | 1598109357 |
---|---|
Former Name | MINDI GARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW15397) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CCMS100460-A) |
251B00000X Case Management (Licence: FL CCMS100460-A) | |
101YM0800X Counselor Mental Health (Licence: FL SW15397) | |
Enumeration Date | 2013-04-24 |
Last Update Date | 2023-09-29 |