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 |