| NPI | 1780941062 |
|---|---|
| Former Name | HEATHER WISZCZUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085713) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-00875) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-02-10 |