| NPI | 1740561166 |
|---|---|
| Former Name | HEIDI LEIGH DRYFHOUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017064) |
| 1041C0700X Social Worker, Clinical (Licence: MN 21214) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2014-03-05 |