| NPI | 1255943601 |
|---|---|
| Former Name | MARIAN JANAE HEANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851107524) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801107524) | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2025-06-10 |