NPI | 1225234198 |
---|---|
Former Name | HEIDI LYN PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115249) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD G12787) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2009-12-13 |