NPI | 1366608101 |
---|---|
Former Name | CAROLINE MAIER ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60984750) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00018900) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2019-09-03 |