| NPI | 1588960082 |
|---|---|
| Former Name | HEATHER SUE SHAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60227140) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60227200) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-06-06 |