| NPI | 1285907790 |
|---|---|
| Former Name | ACACIA DANIELLE HEFFNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 45103) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 372600000X Adult Companion | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2022-11-17 |