Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LH60076117 | WA |
N | 225700000X | Massage Therapist | MA 00000885 | WA |
NPI | 1013325851 |
---|---|
Provider Name | Stephanie Gierman |
First Address | Seattle, WA 98115-5469 |
Second Address | Seattle, WA 98115-5469 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2014 |
Last Update Date | 24/07/2014 |