| NPI | 1023592995 |
|---|---|
| Former Name | TAMMY SYMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114763) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2023-07-31 |