| NPI | 1851819304 |
|---|---|
| Former Name | CYNTHIA ANNETTE DECOTEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61213860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60783484) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2025-02-27 |