NPI | 1497390959 |
---|---|
Former Name | CYNTHIA TRUITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019040543) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2019040543) |
Enumeration Date | 2019-11-08 |
Last Update Date | 2025-08-11 |