NPI | 1992498448 |
---|---|
Former Name | HEIDI GRIFFEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14186) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2023-05-31 |
Last Update Date | 2023-07-02 |