| NPI | 1528575065 |
|---|---|
| Former Name | KAREN ANN HEINEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361005105) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2022-08-05 |