NPI | 1285477232 |
---|---|
Former Name | TAMMY PFEIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1231) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3210) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-06-17 |