| NPI | 1427583772 |
|---|---|
| Former Name | SANJIVANI MARIE SCHRADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61181073) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SCHRASM130DA) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-05-09 |