| NPI | 1669816294 |
|---|---|
| Former Name | HEIDI L SUKUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 6773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9428) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |