NPI | 1700051026 |
---|---|
Former Name | JANET A HEIKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73428) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005834) |
103T00000X Psychologist (Licence: MN LP 2357) | |
Enumeration Date | 2008-04-28 |
Last Update Date | 2015-05-06 |