| NPI | 1447391263 |
|---|---|
| Former Name | STACEY L HEGGENES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60084682) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00037724) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-01-03 |