| NPI | 1376198390 |
|---|---|
| Other Name | SYRENE ALYSE KOONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61158411) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61135315) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2021-08-27 |