NPI | 1568593861 |
---|---|
Former Name | STEPHANIE ANNE HEINTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 49877) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2024-10-02 |