| NPI | 1437274263 |
|---|---|
| Former Name | GENISE LYNN HEFLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 95-302S) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV AP00940219) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |