NPI | 1043778244 |
---|---|
Former Name | TANYA S GOWING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MT3628) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MT3628) |
Enumeration Date | 2019-03-06 |
Last Update Date | 2020-03-12 |