NPI | 1477086072 |
---|---|
Former Name | HECKMAN L LENORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013769) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional (Licence: CO 13769) | |
Enumeration Date | 2017-04-10 |
Last Update Date | 2021-03-31 |