| NPI | 1174643266 |
|---|---|
| Former Name | JILL MEREDITH JOANIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60087706) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00051153) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-09-15 |