NPI | 1750830220 |
---|---|
Former Name | MARIAH DANIELLE ZEISE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61415121) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: WA SC61220821) | |
Enumeration Date | 2016-09-26 |
Last Update Date | 2023-09-19 |