NPI | 1629461322 |
---|---|
Former Name | HEIDI SWANKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2814) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2657) |
Enumeration Date | 2015-03-05 |
Last Update Date | 2021-04-19 |