| NPI | 1649894346 |
|---|---|
| Former Name | HEATHER CARLY AGID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012615) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2025-10-21 |