NPI | 1386639730 |
---|---|
Former Name | PATRICIA J HEILAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016408) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2005-09-13 |
Last Update Date | 2019-06-24 |