| NPI | 1346734951 |
|---|---|
| Former Name | HEATHER WHIPPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2021036324) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06219) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-09-22 |