| NPI | 1407155732 |
|---|---|
| Former Name | JILL POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61334530) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA60196732) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2022-11-07 |