| NPI | 1649354978 |
|---|---|
| Former Name | KIMBERLY MARIE HEINEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70303) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 17539) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-01-22 |