| NPI | 1417917246 |
|---|---|
| Former Name | HEIDI N JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C1694) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 990318) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-05-06 |