Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | LH60175565 | WA |
NPI | 1124490719 |
---|---|
Provider Name | Ms. Lisa Kieffer |
First Address | Bothell, WA 98021-8972 |
Second Address | Bothell, WA 98021-8972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2015 |
Last Update Date | 09/02/2017 |