| NPI | 1922303445 |
|---|---|
| Former Name | JANA MARIE MATHEWSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60131241) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CO60146808) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2019-08-06 |