NPI | 1972073427 |
---|---|
Former Name | SHARLEEN MASSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60639677) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG60639677) |
Enumeration Date | 2018-11-27 |
Last Update Date | 2021-04-27 |