| NPI | 1154097780 |
|---|---|
| Former Name | HEATHER MARIE HARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013803) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-11-13 |