NPI | 1255937892 |
---|---|
Former Name | TAMMY ANDRADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW119397) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW91940) |
104100000X Social Worker (Licence: CA ASW91940) | |
Enumeration Date | 2020-12-09 |
Last Update Date | 2023-12-11 |