| NPI | 1194049023 |
|---|---|
| Former Name | DEBORAH ELLEN WEAPPA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00164) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2012-12-17 |