| NPI | 1578987103 |
|---|---|
| Former Name | TINA MARIE HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13752) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH10587) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2022-04-11 |