| NPI | 1386832301 |
|---|---|
| Former Name | JILL SUZANNE BREITMAIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61038867) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2020-11-13 |