| 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 |