| NPI | 1477070415 |
|---|---|
| Former Name | DENISE JOY HEIDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2275) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1307) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-12-19 |