| NPI | 1912356023 |
|---|---|
| Former Name | HEIDI ANN FARLESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0800057-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1300415) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2020-09-21 |