| NPI | 1346708633 |
|---|---|
| Former Name | AUTUMN JILLIANNE ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61342124) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60946733) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60946733) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2023-04-10 |