| NPI | 1659140465 |
|---|---|
| Other Name | LAQUNANA CISTRUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C-11480) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 133686) |
| 1041C0700X Social Worker Clinical (Licence: RI CSW04031) | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2025-08-10 |