| NPI | 1487831038 |
|---|---|
| Former Name | HEATHER BRUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005786) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004683) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2013-10-10 |