| NPI | 1790846632 |
|---|---|
| Former Name | HEATHER MARIE LABIANCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R055489-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 11003) |
| 104100000X Social Worker (Licence: NY 055489) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-09-29 |