| NPI | 1760682538 |
|---|---|
| Former Name | HEATHER CODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C3528) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC3895) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2014-09-10 |