| NPI | 1659706372 |
|---|---|
| Former Name | HEATHER ROSE-MCGOVERN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW19610) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2022-03-07 |