| NPI | 1760916423 |
|---|---|
| Other Name | MICAH JORGENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW134577) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW134577) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-11-07 |