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 |