NPI | 1043748296 |
---|---|
Former Name | KRISTIN RENE' SPAULDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2001664) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 1700332) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2024-03-01 |