NPI | 1831403336 |
---|---|
Former Name | SARAH DANIELLE JORGENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21427) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61389462) |
1041C0700X Social Worker, Clinical (Licence: MI 68010920149) | |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09924239) | |
1041C0700X Social Worker, Clinical (Licence: FL SW19338) | |
1041C0700X Social Worker, Clinical (Licence: NC C015391) | |
Enumeration Date | 2010-07-27 |
Last Update Date | 2023-12-11 |