NPI | 1669744330 |
---|---|
Former Name | HEATHER MARIE MCANDREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P08137) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: TX 33285) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2022-03-24 |