| NPI | 1407003627 |
|---|---|
| Former Name | HEIDI SUSAN FRIESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7008-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 993062) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2019-01-03 |