| NPI | 1407211055 |
|---|---|
| Former Name | ADRIENNE MARIE WHEAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60312854) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60312854) |
| 101YM0800X Counselor, Mental Health (Licence: AK PCOP583) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2018-08-08 |