NPI | 1407118367 |
---|---|
Former Name | HEATHER ANN SPOORS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.486800) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH RN.486800) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2024-09-23 |