NPI | 1700353687 |
---|---|
Former Name | TENA KAY CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60911016) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60911016) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-11-12 |