NPI | 1235350166 |
---|---|
Former Name | HEIDI FRANCES NOLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82128) |
Additional Taxonomies | 104100000X Social Worker |
164X00000X Licensed Vocational Nurse (Licence: CA VN 146756) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2021-11-17 |