| NPI | 1104975226 |
|---|---|
| Other Name | LETHA FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60245300) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60196695) |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-08-14 |