NPI | 1598312712 |
---|---|
Former Name | MADISON GNADINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 265355) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-08-22 |
Last Update Date | 2020-10-30 |