| NPI | 1639646581 |
|---|---|
| Former Name | JOSELYNN RENEE MATHIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60886571) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60886571) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-12-19 |