NPI | 1720641756 |
---|---|
Former Name | DENISE HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 13271-C) |
1041C0700X Social Worker, Clinical (Licence: CA LCSW115084) | |
Enumeration Date | 2019-04-16 |
Last Update Date | 2025-02-26 |