NPI | 1992802904 |
---|---|
Former Name | HEATHER MARIE PEDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00010016) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-04-02 |