| NPI | 1982290623 | 
|---|---|
| Other Name | MADISON LANKHAAR-CORDOVA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44659)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Enumeration Date | 2020-12-16 | 
| Last Update Date | 2024-03-06 |