| NPI | 1790181584 |
|---|---|
| Former Name | JILLIAN ANNE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CP60690607) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60690607) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO6049646) | |
| 101YM0800X Counselor Mental Health (Licence: WA CG60674740) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2021-03-26 |