NPI | 1952840944 |
---|---|
Former Name | KELSEY RAE DELAGRANGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61265187) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO60714593) | |
Enumeration Date | 2017-02-23 |
Last Update Date | 2024-07-25 |