| NPI | 1134566672 |
|---|---|
| Professional Name | THEA DIANE SHIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60315060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60882908) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2018-07-30 |