Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | WA |
NPI | 1003305038 |
---|---|
Provider Name | Joanne Bize-Buonya |
First Address | Seattle, WA 98125-6748 |
Second Address | Seattle, WA 98125-6748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2018 |
Last Update Date | 01/05/2019 |