| NPI | 1518332527 |
|---|---|
| Former Name | HEATHER LYNN CALVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004919) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4350) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |