| NPI | 1164092003 |
|---|---|
| Former Name | COLEEN ELIZABETH PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LW61501471) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC61166287) |
| 104100000X Social Worker (Licence: WA SC61166287) | |
| 1041C0700X Social Worker, Clinical (Licence: WA SC61166287) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-07-30 |