| NPI | 1073088167 |
|---|---|
| Former Name | SHELLEIGH FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 61327823) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2023-01-06 |