| NPI | 1205133386 |
|---|---|
| Former Name | TINA MARIE LONG-WINEMILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11331) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0500705) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2018-03-17 |