NPI | 1467844506 |
---|---|
Former Name | HEATHER MARIE NAWRAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4390) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 5764) |
106H00000X Marriage & Family Therapist (Licence: ID 5695) | |
106H00000X Marriage & Family Therapist (Licence: OR T1251) | |
Enumeration Date | 2015-02-26 |
Last Update Date | 2017-02-23 |