| NPI | 1346752508 |
|---|---|
| Former Name | MAIE ILENE FRISBIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60798556) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60806661) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2019-11-21 |