| NPI | 1043726714 |
|---|---|
| Former Name | GRACE CATHERINE BIRRENKOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC60832802) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP6047756) |
| 104100000X Social Worker (Licence: WA SC60832802) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2019-10-02 |