| NPI | 1780257816 |
|---|---|
| Former Name | COLLEEN LUCILLE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61222024) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61192849) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-02-20 |