NPI | 1528243847 |
---|---|
Former Name | AMANDA LYN MORSTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60903002) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00055845) |
Enumeration Date | 2008-01-05 |
Last Update Date | 2020-06-08 |