| NPI | 1215384490 |
|---|---|
| Former Name | ANDREA RENATE TOMOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 13043) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM CTB-2023-0601) |
| 101YM0800X Counselor Mental Health (Licence: OR C5718) | |
| 101YM0800X Counselor Mental Health (Licence: WA LH61408460) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2025-05-24 |