NPI | 1447740188 |
---|---|
Other Name | JAMIE LEEANN PAULEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61125226) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60978343) |
101Y00000X Counselor (Licence: WA MC60970213) | |
Enumeration Date | 2018-05-17 |
Last Update Date | 2021-05-03 |