| 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 |