| NPI | 1598206583 |
|---|---|
| Former Name | CAROLINE ALICE PELLANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60743541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60743541) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2018-11-19 |