| NPI | 1700969540 |
|---|---|
| Other Name | TINA MARIE HINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 1330) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 1330-125) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-03-11 |