| NPI | 1831457035 |
|---|---|
| Former Name | HEIDI JEAN WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7836) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60279548) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2020-10-23 |