| NPI | 1154531069 |
|---|---|
| Former Name | TYANNE LANEE HAMPTON CLANCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002335A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-12-02 |