| 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 |