NPI | 1750889192 |
---|---|
Former Name | LUCINDA STODDARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60823070) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60823070) |
175T00000X Peer Specialist | |
Enumeration Date | 2018-01-31 |
Last Update Date | 2019-02-05 |