NPI | 1174927354 |
---|---|
Former Name | KRISTY SEIGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1600095-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1000010) |
Enumeration Date | 2014-10-16 |
Last Update Date | 2023-03-08 |