NPI | 1538630975 |
---|---|
Former Name | WENDY RUTLEDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2303332) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.2303332) |
225XM0800X Occupational Therapist Mental Health | |
225XM0800X Occupational Therapist Mental Health (Licence: OH C.2002669) | |
Enumeration Date | 2018-12-11 |
Last Update Date | 2023-02-09 |