NPI | 1730281999 |
---|---|
Former Name | LOUANN BARDEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 678-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2006-09-01 |
Last Update Date | 2025-03-26 |