| NPI | 1154035855 |
|---|---|
| Former Name | CARLEE CHURCHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61509360) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-12-11 |