| NPI | 1073994422 |
|---|---|
| Former Name | JILL HEIDENREICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180010763) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-10-05 |