| NPI | 1013488907 |
|---|---|
| Former Name | KORTNEY SHEEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2607058) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: OH C.2305573) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2026-05-08 |