| NPI | 1306313994 |
|---|---|
| Former Name | AMBER HEATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020660) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133666) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-11-04 |