NPI | 1285955195 |
---|---|
Former Name | TAMMY THERESA WEINMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC005480) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA PC005480) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2010-06-15 |