| NPI | 1336857671 |
|---|---|
| Former Name | EMILY RUTH SQUEZELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61324957) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WA 499286C) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-01-03 |