NPI | 1750794871 |
---|---|
Former Name | NICOLE LYNN HEIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 7848) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117566) |
1041C0700X Social Worker, Clinical (Licence: NH 1772) | |
Enumeration Date | 2014-06-05 |
Last Update Date | 2014-06-05 |