NPI | 1740688647 |
---|---|
Former Name | CHRISTINA HEANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88264) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0181281) |
Enumeration Date | 2014-12-09 |
Last Update Date | 2025-08-01 |