NPI | 1144526260 |
---|---|
Former Name | TANYA MARIE BRAMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4507-125) |
Additional Taxonomies | 221700000X Art Therapist (Licence: WI 103-036) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2011-02-15 |