| NPI | 1598488959 |
|---|---|
| Former Name | CHARLI MADELINE SIEGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44991) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L11079) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-12-03 |