| NPI | 1851658348 |
|---|---|
| Former Name | HEIDI HARMON MCNICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 71283) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: CO 09928772) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2023-09-10 |