| 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 |