| NPI | 1578847828 |
|---|---|
| Former Name | HEATHER BONK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60485875) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH8666) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2014-08-13 |