| NPI | 1417310699 |
|---|---|
| Former Name | PATRICIA HANCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA lh61463342) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60648871) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-12-03 |