| NPI | 1528316064 |
|---|---|
| Former Name | HALLIE NEIDENTHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1902294) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2023-01-11 |