| NPI | 1164868428 |
|---|---|
| Former Name | PATRICIA ANN EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60322621) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60322621) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |