NPI | 1124255526 |
---|---|
Former Name | CHARLOTTE FOUGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60161001) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60101064) |
Enumeration Date | 2009-06-12 |
Last Update Date | 2013-07-11 |