| NPI | 1083366900 |
|---|---|
| Former Name | LAURIE ELLEN HEGGEDAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 6201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6201) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-12-20 |