| NPI | 1467962845 |
|---|---|
| Former Name | DONNETTE RICHESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60786229) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60795289) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |