| NPI | 1366682957 |
|---|---|
| Former Name | HEATHER L BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4840-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15652-132) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2016-04-08 |