NPI | 1689834913 |
---|---|
Former Name | LACEY STEPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60607993) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC60034904) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2023-09-27 |