| NPI | 1831609098 |
|---|---|
| Former Name | HEATHER M ANTONIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3712-226) |
| 101YM0800X Counselor, Mental Health (Licence: WI 17957-130) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-01-19 |