NPI | 1295431336 |
---|---|
Other Name | TORY FENRICK |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-01-31 |
Last Update Date | 2024-07-25 |