| NPI | 1679885115 |
|---|---|
| Former Name | HEATHER R. BONNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010572) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0600084) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2018-08-23 |