| NPI | 1942667688 |
|---|---|
| Former Name | DEJERICA HEATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006163) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009394) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2020-01-14 |