NPI | 1114046844 |
---|---|
Other Name | TOBI TRICKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9527) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 701005587) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 26977) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2016-12-23 |