| NPI | 1215138300 |
|---|---|
| Former Name | HEATHER WILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13438) |
| Additional Taxonomies | 193400000X Single Specialty (Licence: FL SW13438) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2021-01-02 |