NPI | 1093254237 |
---|---|
Former Name | SIERRA BRIANNE TUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95895) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2017-02-21 |
Last Update Date | 2025-05-15 |