| NPI | 1457478448 |
|---|---|
| Former Name | HEATHER LANDRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00424) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5945) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2012-12-04 |