| NPI | 1326073099 |
|---|---|
| Other Name | ROBERT HEISDORF |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS3522) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC5364) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |