| NPI | 1780954073 |
|---|---|
| Former Name | JOELLE CHRISTINE KEITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60336078) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MG60336078) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2013-04-12 |