NPI | 1215128384 |
---|---|
Former Name | TINA M HORVATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5031) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 4620) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2019-08-29 |