| NPI | 1770075210 |
|---|---|
| Former Name | JESSICA DAWN HEINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 105915) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105915) |
| 104100000X Social Worker (Licence: CA 100041) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-06-02 |