NPI | 1154639789 |
---|---|
Former Name | LACIE MORRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60486991) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60169897) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2015-09-14 |