NPI | 1346534922 |
---|---|
Former Name | ANN HEIRENDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009919) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 60374) |
1041C0700X Social Worker, Clinical (Licence: CA LCS25990) | |
Enumeration Date | 2011-06-01 |
Last Update Date | 2023-02-21 |