NPI | 1235769662 |
---|---|
Former Name | SHARON M.B. TEDDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC14016) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN LMHC39003571A) |
101YM0800X Counselor, Mental Health (Licence: IN 39003571a) | |
Enumeration Date | 2020-01-24 |
Last Update Date | 2023-09-07 |