| NPI | 1881054195 |
|---|---|
| Former Name | SYDNEY LAUREN BOYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60972130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60620391) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2021-09-09 |