NPI | 1306924675 |
---|---|
Former Name | HEIDI PLESKACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 076421) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 072566) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2010-11-04 |