| NPI | 1366860900 |
|---|---|
| Former Name | HEATHER PENNIMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 13028-MH-CC) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2022-05-10 |