| NPI | 1891146601 |
|---|---|
| Former Name | HEATHER DIANE BOTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF94093) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-07-25 |