NPI | 1245362292 |
---|---|
Former Name | HEATHER DAWNE RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011170) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 0001698) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2022-03-28 |