Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | ||
Y | 101YP2500X | Professional Counselor | 8181 | MD |
NPI | 1003320037 |
---|---|
Provider Name | Miss Heather Michelle Casper |
First Address | Bethesda, MD 20817-2149 |
Second Address | Bethesda, MD 20817-2149 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2017 |
Last Update Date | 16/06/2018 |