| 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 |