| NPI | 1821552233 |
|---|---|
| Former Name | HEATHER LOVE BREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008091) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 004181) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2023-11-28 |