NPI | 1780010298 |
---|---|
Former Name | CATHERINE MARIE GERVASI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60505829) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60505919) |
Enumeration Date | 2013-09-17 |
Last Update Date | 2019-02-04 |