| NPI | 1033269311 |
|---|---|
| Former Name | HEIDI EBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006087) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-2527) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CCS-20196) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-04-09 |