NPI | 1144681453 |
---|---|
Former Name | TESSA MICHELE JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2016-03-14 |
Last Update Date | 2022-06-02 |