| NPI | 1548836398 |
|---|---|
| Former Name | HEATHER NICHOLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020081) |
| 101YP2500X Counselor, Professional (Licence: MO 2023048413) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701013206) | |
| 101YP2500X Counselor, Professional (Licence: LA 10147) | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-09-12 |