| NPI | 1780814004 |
|---|---|
| Former Name | THERESA FENANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09928062) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 25391) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2024-04-04 |