NPI | 1134494511 |
---|---|
Former Name | TRACY AKINTUNDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00541200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005095) |
101YM0800X Counselor, Mental Health (Licence: CA 7969) | |
101YM0800X Counselor, Mental Health (Licence: FL 18679) | |
Enumeration Date | 2012-03-19 |
Last Update Date | 2023-06-09 |