| NPI | 1255911194 |
|---|---|
| Former Name | TAMMY A START |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC ADC-2092) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-26 |