| NPI | 1871262071 |
|---|---|
| Former Name | SIERRA K BONHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 14260) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27210) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-05-06 |