| NPI | 1265762140 |
|---|---|
| Former Name | TAMARA ANN SCHMALZ NAVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1277) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1131) |
| 101YP2500X Counselor, Professional (Licence: MT 1277) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2022-07-21 |