| NPI | 1629126867 |
|---|---|
| Other Name | CHLOE BROKAW HEIMBUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000380) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MF23577) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2007-07-08 |