| NPI | 1316160864 |
|---|---|
| Former Name | CARRIE HEYWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87808) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-07-08 |