NPI | 1922124064 |
---|---|
Former Name | ANNA HEATON HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 0817-2059C) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 2059C) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2010-08-23 |