NPI | 1790471100 |
---|---|
Former Name | SARAH ANN HEPPNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61432274) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-05-18 |