| NPI | 1245383124 | 
|---|---|
| Former Name | DONALD K FIELDS | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00034390)  | 
| Enumeration Date | 2007-01-22 | 
| Last Update Date | 2021-09-28 |