NPI | 1811249832 |
---|---|
Former Name | KRISTIN N IGNATIOUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900178) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0900178) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2024-09-06 |