NPI | 1588094395 |
---|---|
Former Name | HEIDI CREECH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8740-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 8740-M) |
Enumeration Date | 2013-11-14 |
Last Update Date | 2025-05-06 |