| NPI | 1700393980 |
|---|---|
| Former Name | GAYLE ILENE MONARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61214742) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2021-10-21 |