| NPI | 1083929590 |
|---|---|
| Former Name | HEIDI LYNNE POYSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022223) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2020-05-26 |