| NPI | 1598486524 |
|---|---|
| Former Name | CALLA WEISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 22826) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 20229-P) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2026-09-30 |