NPI | 1295234631 |
---|---|
Former Name | RONDA R HARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E2012333) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C-1700243) |
Enumeration Date | 2018-02-11 |
Last Update Date | 2021-08-25 |