| NPI | 1841709243 |
|---|---|
| Former Name | KODIE JO SHUBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61333990) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60903029) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-10-17 |