| NPI | 1619211497 |
|---|---|
| Former Name | HEIDI S SKINDINGSRUDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 5374-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15801-132) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2014-09-18 |