| NPI | 1114473261 |
|---|---|
| Former Name | WHITNEY LASSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P1903027) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1608109) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-03-19 |