| NPI | 1972237444 |
|---|---|
| Former Name | JEIGH M MAYNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404533) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400095) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-02-28 |