| NPI | 1528887171 |
|---|---|
| Former Name | HEATHER RACHEL KULJIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028867) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |