| NPI | 1154095859 | 
|---|---|
| Former Name | HEIDI E HARBIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009035602) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180006752) | 
| 221700000X Art Therapist (Licence: 10030) | |
| Enumeration Date | 2021-08-05 | 
| Last Update Date | 2021-08-05 |