| NPI | 1144611393 |
|---|---|
| Former Name | BETSY LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60758663) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60493269) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2017-07-12 |