| NPI | 1326270521 |
|---|---|
| Former Name | HEIDI LUCINDA DAWN SHENK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RC60070012) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2021-02-08 |