| NPI | 1558687665 |
|---|---|
| Former Name | HEIDI A PETRACCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 9771) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2024-09-04 |