NPI | 1487165072 |
---|---|
Former Name | HEATHER B FLYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LCSW224417) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LICSW124058) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-10-23 |
Last Update Date | 2021-10-07 |