| NPI | 1104639038 |
|---|---|
| Former Name | MATHILE L HORNBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020585) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020585) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-04-24 |