NPI | 1518140037 |
---|---|
Former Name | CARRIE ANNE HEPPERLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 071792-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080667) |
Enumeration Date | 2007-12-06 |
Last Update Date | 2016-04-04 |