NPI | 1942770896 |
---|---|
Former Name | DORET MONICA GREATHOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60835638) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA 1942770896) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2020-07-07 |