| NPI | 1811130735 |
|---|---|
| Former Name | HEIDI DYLANI MONTOYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: WA PY60336314) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 60336314) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2019-07-12 |