NPI | 1437683349 |
---|---|
Former Name | JAYME NICOLE LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 60969185) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60974940) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2019-08-22 |