| NPI | 1881237345 |
|---|---|
| Former Name | HEATHER TUELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011129A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33009234A) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2024-05-02 |