| NPI | 1386880136 |
|---|---|
| Former Name | HEIDI GLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-8085) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC-5104) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-11-27 |