| NPI | 1780824391 |
|---|---|
| Former Name | HEATHER LOUISE HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 127714-121) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2014-09-15 |