| NPI | 1326270521 |
|---|---|
| Former Name | HEIDI SHENK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2025-09-04 |