NPI | 1609046358 |
---|---|
Former Name | TRINA A. LYONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG 60114172) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00053704) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2009-10-19 |