NPI | 1598289837 |
---|---|
Former Name | HEATHER HRYNEWYCZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003198A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-14045) |
Enumeration Date | 2017-07-28 |
Last Update Date | 2020-11-23 |