NPI | 1851658348 |
---|---|
Former Name | HEIDI HARMON MCNICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928772) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 71283) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2025-08-22 |