| NPI | 1699255208 |
|---|---|
| Former Name | CECILY JO SWENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6229) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 6229) |
| 1041S0200X Social Worker, School (Licence: SD 6229) | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2024-02-01 |