| NPI | 1457837684 |
|---|---|
| Former Name | HEATHER BORDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-12-20 |