NPI | 1073809034 |
---|---|
Former Name | HEATHER A DIONNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC16956) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ME CAC5411) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2021-02-02 |