| NPI | 1487020608 |
|---|---|
| Former Name | HEATHER MORTIMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2021-11-20 |