| NPI | 1679796981 |
|---|---|
| Former Name | HEIDI RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 3534) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 11959) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |