| 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 |