| NPI | 1114485976 |
|---|---|
| Former Name | MARISSA E HEEBNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1629875) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-01-15 |