| NPI | 1144614371 |
|---|---|
| Former Name | KATIE MYERS-WIESEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60517768) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-02-15 |