| NPI | 1518048891 |
|---|---|
| Former Name | JILL S HALDEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW00005181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 350142) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-03-05 |