| 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 |