| NPI | 1144847849 |
|---|---|
| Former Name | SADE ANGELA TYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 3641) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 3601) |
| 101Y00000X Counselor (Licence: MO 2020029481) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-04-09 |