| NPI | 1841502838 |
|---|---|
| Former Name | HEATHER KENYON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW9880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw9880) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-08-30 |