| NPI | 1972721991 |
|---|---|
| Former Name | HEATHER LIGHTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3378) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP340) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2010-01-25 |