| NPI | 1245896281 |
|---|---|
| Former Name | HEATHER LYNN BINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2023-04-25 |