| NPI | 1013649839 |
|---|---|
| Former Name | TAYLOR HEINIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 6871351) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-04-29 |