| NPI | 1174657902 |
|---|---|
| Former Name | HEATHER JEAN GUMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY25944) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC29054) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-11-05 |