| NPI | 1811685837 |
|---|---|
| Other Name | KIANICOLE PANGELINAN-MANAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61397454) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-05-15 |