| NPI | 1235319310 |
|---|---|
| Former Name | SANDRA ELIZABETH DICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60108275) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00050155) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2019-05-28 |