NPI | 1366573339 |
---|---|
Former Name | ALLISON TROY HECKL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM LCSWC-08209) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW26192) |
1041C0700X Social Worker, Clinical (Licence: NM I-08209) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2024-07-11 |