| NPI | 1710549183 |
|---|---|
| Former Name | SHAE MARIE HAVNER-SIERER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9548) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127423-121) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2024-09-20 |