Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LH60209058 | WA |
N | 101YP1600X | Pastoral Counselor |
NPI | 1326334723 |
---|---|
Provider Name | Akiko Nawata |
First Address | Snohomish, WA 98291-0292 |
Second Address | Shoreline, WA 98133-4814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 22/02/2012 |