| NPI | 1992272769 |
|---|---|
| Former Name | HEATHER MARIE BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60947717) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60665553) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2019-11-08 |