| NPI | 1306812169 |
|---|---|
| Other Name | JODY MARIE FAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00007965) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 69882) |
| 103TS0200X Psychologist, School (Licence: WA 420895E) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: WA 1167925) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |