| NPI | 1669872743 |
|---|---|
| Former Name | CARLY SUNDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 010227) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: CT 10227) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2024-05-01 |