| NPI | 1871883827 |
|---|---|
| Former Name | JENNIFER DEPAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60201587) |
| 101YM0800X Counselor, Mental Health (Licence: WA CL60160819) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2018-12-19 |