| NPI | 1588168736 |
|---|---|
| Former Name | PATRICIA LOUISE MATHEWSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0011314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO RPTT3325) |
| 101YP2500X Counselor, Professional (Licence: CO LPC0011314) | |
| 101YS0200X Counselor, School (Licence: CO SSP172075) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |