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 |