NPI | 1043691223 |
---|---|
Former Name | SIERRA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-06-14 |
Last Update Date | 2023-04-22 |