NPI | 1003091133 |
---|---|
Former Name | HEATHER R TRIMBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001632A) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 87000564A) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2018-11-05 |