| NPI | 1174866222 |
|---|---|
| Former Name | WENDIE MELISSA MATHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60344527) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60344527) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2016-07-20 |