| NPI | 1336897057 |
|---|---|
| Former Name | KATIE SCARLETT ALEXANDRA GENTRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60810928) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-07-23 |