| NPI | 1134633241 |
|---|---|
| Former Name | TONIA MECHELLE GOODRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN Lpc000000408) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC007442) |
| 101YP2500X Counselor, Professional (Licence: KY 165645) | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |