| NPI | 1043237860 |
|---|---|
| Former Name | TONYA SUE MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 2783933501) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 278343-6006) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2021-03-29 |