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 |