NPI | 1902954670 |
---|---|
Professional Name | HEIDI ELIZABETH KAMMER HODGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15203) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2024-09-05 |