| NPI | 1982376877 |
|---|---|
| Former Legal Business Name | HEATHER A PENROSE LCSW-R |
| Entity Type | Organization |
| Authorized Contact | HEATHER PENROSE Psychotherapist 585-576-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-12-27 |