NPI | 1346590189 |
---|---|
Former Name | HEATHER LEA GLENNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002235) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 002235) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2024-01-10 |