| NPI | 1972882967 |
|---|---|
| Former Name | HEATHER L CHRISTIANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IA 1277) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN 5377) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2018-11-06 |