| NPI | 1699065524 |
|---|---|
| Former Name | HEIDI GABRIELA STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NV PY0641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV PY0641) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY24810) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PY0641) | |
| 103TC0700X Psychologist, Clinical (Licence: NV PY 6041) | |
| 103TC1900X Psychologist, Counseling (Licence: NV PY0641) | |
| 103TH0004X Psychologist, Health (Licence: NV PY 6041) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NV PY0641) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2022-07-14 |